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Availity® Health Information Network

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Last<br />

Update<br />

Payer ID Payer Name<br />

Availity's Electronic Data Interchange (EDI) <strong>Health</strong> Plan Partners<br />

Government<br />

Payer*<br />

Claim Enroll<br />

Required<br />

Remit (835)<br />

NPI Option<br />

Professional<br />

Claim (837)<br />

Institutional<br />

Claim (837)<br />

Eligibility &<br />

Benefits (270)<br />

Claim<br />

Status<br />

(276)<br />

<strong>Availity®</strong> <strong>Health</strong> <strong>Information</strong> <strong>Network</strong><br />

Electronic Data Interchange (EDI) & Web Solutions Companion Guides<br />

Auth &<br />

Referral<br />

(278)<br />

Additional <strong>Information</strong><br />

70408 MUTUAL BENEFIT LIFE (MBL) 2 x x<br />

71412 MUTUAL OF OMAHA 2 x x<br />

71412 MUTUALLY PREFERRED 2 x x For your MVP Provider number, call (800) 684-9286.<br />

14165 MVP HEALTH PLAN OF NY x 3 x x<br />

91136 N.W. IRONWORKERS HEALTH & SECURITY HEALTH FUND 2 x x<br />

91136 N.W. ROOFERS & EMPLOYERS HEALTH & SECURITY TRUST FUND 2 x x<br />

91136 N.W. TEXTILE PROCESSORS 2 x x<br />

65085 NAA - NORTH AMERICAN ADMINISTRATORS (NASHVILLE, TN) 2 x x<br />

NANPR NAMM PARTNERS, INC 2 x x<br />

58182 NAPHCARE 2 x x<br />

56176 NATIONAL BENEFIT ADMIN. – N.C. 4 x x<br />

56175 NATIONAL BENEFIT ADMINISTRATORS – NEW JERSEY 4 x x<br />

37126 NATIONAL CLAIM ADMINISTRATION 2 x x<br />

90956 NATIONAL FINANCIAL INSURANCE COMPANY 2 x<br />

98205 NATIONAL FOUNDATION LIFE INSURANCE COMPANY 2 x<br />

NIA11 NATIONAL IMAGING ASSOCIATES x 4 x x<br />

52132 NATIONAL RURAL ELECTRIC COOP (NRECA) 2 x x<br />

53011 NATIONAL RURAL LETTER CARRIER ASSOC (NALC) 2 x x<br />

NTA11 NATIONAL TEACHERS ASSOCIATION (NTA) 2 x x<br />

52103 NATIONAL TELECOMMUNICATIONS COOPERATIVE ASSOCIATION (NTCA) 2 x x<br />

52104<br />

NATIONAL TELECOMMUNICATIONS COOPERATIVE ASSOCIATION (NTCA) -<br />

STAFF MEMBERS<br />

2 x x<br />

31417 NATIONWIDE SPECIALTY HEALTH 2 x x<br />

75191 NCAS - CHARLOTTE, NC 2 x x<br />

75190 NCAS - FAIRFAX, VA 2 x x<br />

95123 NEIGHBORHOOD HEALTH PARTNERSHIP 2 x x<br />

04293 NEIGHBORHOOD HEALTH PLAN 3 x x<br />

05047 NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND (NHPRI) 2 x<br />

11325 NEIGHBORHOOD HEALTH PROVIDERS 2 x x<br />

37255 NESIKA HEALTH GROUP 2 x x<br />

66055 NETCARE LIFE AND HEALTH INSURANCE 2 x x<br />

04332 NETWORK HEALTH 2 x x<br />

77076 NETWORK HEALTH INS CORP - MEDICARE 2 x x<br />

39144 NETWORK HEALTH SOLUTIONS 2 x<br />

95998 NEW AVENUES 2 x x<br />

80705 NEW ENGLAND FINANCIAL x 2 x x<br />

75281 NEW ERA LIFE INSURANCE COMPANY 2 x x<br />

76031 NEW ERA WELFARE BENEFIT PLAN TRUST 2 x x<br />

65056 NEW MARKET DIMENSIONS 2 x x<br />

NYL11 NEW YORK LIFE - LTC 2 x x<br />

14179 NEW YORK MEDICAL IMAGING - MVP 4 x<br />

11334 NEW YORK NETWORK MANAGEMENT 2 x<br />

38225 NGS AMERICAN, INC. 2 x x<br />

81264 NIPPON LIFE INSURANCE CO 2 x x<br />

34159 NORTH AMERICA BENEFITS NETWORK 2 x x Name has changed to Meritain <strong>Health</strong><br />

Only claims from providers in Northern California. Please contact the EDI Dept for North American<br />

64157 NORTH AMERICAN ADMINISTRATORS 2 x x<br />

Medical Management (NAMM) - Northern California Lead/Supervisor at 800.956.8000 prior to initial<br />

submission of claims.<br />

E3510 NORTH AMERICAN ADMINISTRATORS x 2 x<br />

36392 NORTH SUBURBAN ASSOCIATED PHYS 2 x x<br />

38238 NORTHERN CALIFORNIA SHEET METAL WORKERS INSURANCE PLAN 2 x<br />

36347 NORTHERN ILLINOIS HEALTH PLAN 2 x x<br />

88027 NORTHERN NEVADA TRUST FUND 2 x x<br />

48026 NORTHSHORE PHYSICIAN ASSOCIATES 2 x x<br />

10850 NORTHSTAR ADVANTAGE (MHP) x 2 x x<br />

NANWC NORTHWEST COMMUNITY HEALTH PARTNERS 2 x x Use this payer ID for claims with a Date of Service prior to 1/1/2013.<br />

35199 NORTHWEST COMMUNITY HEALTH PARTNERS 4 x x Use this payer ID for claims with a Date of Service after 1/1/2013.<br />

NWDC1 NORTHWEST DIAGNOSTIC CLINIC x 4 x x For 835, 270 and 276 transactions please use Payer ID: HPN11<br />

NPN11 NORTHWEST PHYSICIANS NETWORK 2 x x<br />

36346 NORTHWEST SUBURBAN IPA (ILLINOIS) 3 x x<br />

16114 NOVA CASUALTY CO. 2 x x<br />

16644 NOVA HEALTH ADMIN. (GRAND ISLAND, NY) 2 x x<br />

06226 NOVANET 2 x<br />

71080 NOVASYS 2 x<br />

37299 NYHART 2 x x<br />

91135 NYLCARE ETHIX NORTHWEST 2 x<br />

14180 NYMI OXFORD 3 x<br />

NAOAK OAK WEST PRIMARY PHYSICIANS ASSOCIATION 2 x x<br />

13350 OEA CHOICE TRUST 3 x x<br />

OBA18 OGDEN BENEFITS ADMINISTRATION 2 x x<br />

34189 OHIO HEALTH CHOICE, PPO 3 x x<br />

95435 OHIO HEALTH GROUP 2 x Formerly named as <strong>Health</strong> Pledge HMO.<br />

25150 OMNICARE, A COVENTRY HEALTH PLAN 3 x x<br />

22321 ONE CALL MEDICAL 2 x x<br />

80705 ONE HEALTH PLAN (ALL 50 STATES) x 2 x x<br />

95379 ONE HEALTH PLAN OF CALIFORNIA, INC x 2 x<br />

22 of 124 Visit our web site: www.availity.com

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